An Assessment of Monitoring And Evaluation Systems On Provision Of Health Services In Kenya: A Case Of Kenyatta University Teaching, Referral & Research Hospital In Nairobi County

Abstract

The study aimed to assess the role of monitoring and evaluation systems on provision of health services in Kenya with a case of Kenyatta university teaching, referral & research hospital in Nairobi County. The objectives that guided the study included: i. To examine the existing M&E systems within health management systems across KUTRRH in Kenya; ii. To investigate the percentage level of use of monitoring and evaluation systems within health management information systems at KUTRRH in Kenya; iii. To evaluate how the integration of monitoring and evaluation systems impact service delivery across KUTRRH in Kenya; iv. To identify the challenges faced by KUTRRH in Kenya when implementing monitoring and evaluation systems within their health management information systems. The research questions that guided the study included: i. What are the existing M&E systems within health management systems across KUTRRH in Kenya? ii. What is the percentage level of use of monitoring and evaluation systems within health management information systems at KUTRRH in Kenya? iii. Does the integration of monitoring and evaluation systems impact service delivery across KUTRRH in Kenya? iv. What are the challenges faced by KUTRRH in Kenya when implementing monitoring and evaluation systems within their health management information systems? The study was guided by the theory of change and resource based theory as they are tools used for developing solutions to complex social problems thus leading to necessary change. Similarly, the resource-based theory provides direction for implementation. Descriptive research design was used. The study population for this study was 3,500 employees of Kenyatta University Teaching, Referral & Research Hospital. From the 3500 population from all the departments the key target population was 80 participants derived from the project management and research team which is mainly responsible of M&E. The researcher conducted the study with a sample size of 80 respondents whereby 73 respondents represented the project management & research team who responded to questionnaires while 7 respondents represented key resource respondents who participated in interviews. The main objective of purposive sampling procedure was to arrive as at a sample that can adequately answer the research objectives.